Current Issue of Becker's ASC Review

January/February 2023 Issue of Becker's ASC Review

ON THE COVER

Largest ASC chains by number of physicians
Dallas-based United Surgical Partners International, subsidiary of Tenet Healthcare, is the largest ASC
chain in the country by centers and number of physicians.

3 fast facts on ASC operating costs
Here are three breakdowns of ASC operating costs to know:

3 major health systems post billion-dollar losses: What ASC leaders should know 
Hospitals and health systems, like ASCs, are being affected by rising labor and supply costs while
reimbursements remain low.

Top 10 states for orthopedic surgeons to work in 2022: Report
While orthopedic surgeons perform the same job in every state, the work environment,
salary and demand for services are not uniform across the country. 

5 of the biggest ASC deals in 2022
Here are five of the biggest deals from the largest ASC chains or their parent companies
that Becker's has reported on since May 3:

Where the relationship between ASCs and payers stands today
ASCs and payers continue to face obstacles as they work through the challenges and
changes of today's healthcare environment.

The major benefits of physician ASC ownership
Control and convenience are two major benefits to physician ownership of ASCs, according
to the most recent data from Advancing Surgical Care.

Accessing economies of scale is possible for ASCs — here's how
ASCs often struggle to compete with larger health systems and practices for patients and
contracts, but some are looking to technology to access economies of scale in the coming months. 

ASC MANAGEMENT

What ASCs leaders are nervous about 
Seven leaders joined Becker's to discuss what they're most nervous about right now. 

CMS bumps ASC payments to 3.8 percent in final rule
updated ASC payment rates to 3.8 percent in its 2023 "Hospital Outpatient Prospective
Payment System and Ambulatory Surgical Center Payment System Proposed Rule." 

Where the relationship between ASCs and payers stands today
ASCs and payers continue to face obstacles as they work through the challenges and
changes of today's healthcare environment.

Largest ASC chains by number of physicians
Dallas-based United Surgical Partners International, subsidiary of Tenet Healthcare, is the
largest ASC chain in the country by centers and number of physicians.

Over half of ASCs 100% physician-owned
Fifty-two percent of Medicare-certified ASCs in the U.S. are 100 percent physician-owned,
according to the most recent data from Advancing Surgical Care.

THOUGHT LEADERSHIP

What does it take for ASCs to be successful in value-based care?
Healthcare has begun its migration to value-based care, and ASCs seem primed for success in the new model.

Anesthesiology's biggest controversies
Four anesthesia leaders joined Becker's to discuss the biggest controversies in the industry today. 

The danger of payers squeezing 'as much profit as possible out of medicine'
Brian Gantwerker, MD, is a spine neurosurgeon at The Craniospinal Center of Los Angeles.

One ASC leader's tips for lowering operating costs
Prashanth Bala, vice president of ASC operations at Shields Health in Quincy, Mass., spoke
with Becker's Oct. 21 to discuss tips for lowering ASC operating costs.

'I'm not sure if the healthcare landscape has ever seen a storm like this one,' surgeon says
Spine surgeon Philip Louie, MD, medical director of research and academics at Seattle-based Virginia Mason Franciscan Health, joined Becker's to discuss what he wishes his coworkers knew about his job.

ORTHOPEDICS

Top 10 states for orthopedic surgeons per capita
Almost 23,000 orthopedic surgeons practice in the U.S., according to Definitive Healthcare's PhysicianView, which includes data on more than 2 million physicians, nurses and other healthcare professionals in the U.S.

DISC Sports & Spine Center adds physician partner for upcoming ASC
In preparation for its upcoming ASC in Marina del Rey, Calif., Newport Beach, Calif.-based
DISC Sports & Spine Center added a physician partner to its network.

National Spine and Pain Centers opens Florida ASC
Frederick, Md.-based National Spine and Pain Centers has opened a new surgery center in
Fort Myers, Fla. 

Dr. Alex Vaccaro retains No. 1 spine expert status
Alex Vaccaro, MD, PhD, president of Philadelphia-based Rothman Orthopaedic Institute
was recognized as the world's top-rated spine care expert for the second consecutive year by Expertscape.

Total joints and ASCs: 3 leaders' thoughts
Three leaders joined Becker's to discuss the addition of total joint service lines to ASCs:

GASTROENTROLOGY

Top 10 gastroenterology hospitals, ASCs in the U.S.
Here are 2022's top 10 gastroenterology hospitals and ASCs in the U.S. according to U.S. News & World Report and Newsweek.

GI pay in 2022: 10 statistics
Gastroenterologists earned $453,000 on average during 2022, with compensation
fluctuating based on practice setting and length of employment.

CMS expands colorectal cancer screening coverage: 2 things to know
CMS has expanded colorectal cancer screening coverage as part of its finalized 2023 Physician Fee Schedule released Nov. 1

Gastro Health, GI Alliance and more: 33 industry updates in 2022
Here are 33 moves from major gastroenterology groups that Becker's has reported on in 2022:

What gastroenterology leaders are most excited about
Gastroenterology leaders are keeping their eyes on technological innovations as the field continues to evolve.

TRANSACTIONS

Amazon's $3B Q3 loss: What ASCs need to know
Amazon reported a $3 billion net loss for the year through the nine months ending Sept. 30

USPI vs. Surgery Partners vs. SCA Health in Q3: 9 financial notes
Dallas-based United Surgical Partners International, Brentwood, Tenn.-based Surgery Partners and Optum, parent company of ASC chain SCA Health, all reported revenue gains in the third financial quarter.

The most interesting physician group deals in 2022
Here are the eight most interesting physician group deals this year:

5 of the biggest ASC deals in 2022
Here are five of the biggest deals from the largest ASC chains or their parent companies that Becker's has reported on since May 3:

Kaiser Permanente's $1.5B Q3 loss: What ASCs need to know 
Oakland, Calif.-based Kaiser Permanente reported a net loss of $1.5 billion for the third quarter.

HEALTHCARE NEWS

Physician pay is changing — up in 8 specialties, down in 4 in 2022
Interventional cardiologists saw the biggest drop in pay this year, according to Merritt Hawkins and AMN Healthcare's 2022 "Review of Physician and Advanced Practitioner Recruiting Incentives."

On the 'brink of financial collapse': California system CEO implores governor for funding.
Visalia, Calif.-based Kaweah Health is a busy hospital with a robust emergency room seeing more than 81,000 patients per year. The hospital is among Healthgrades' top 250 hospitals in the nation and had a financially strong position pre-pandemic with an A3 Moody's Investors Service rating.

Top 15 healthcare companies by revenue heading into 2023
The largest healthcare companies in the U.S. have continued to grow in the last year.

5 worst places for physicians, nurses to practice
The Northeast is home to some of the worst states for physicians to practice while the South contains some of the worst states for nurses.

Advanced practice registered nurse compensation: 7 facts
Certified registered nurse anesthetists had the highest pay of any advanced practice nurse in 2022 according to Medscape's 2022 APRN compensation report.

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